keeping my airways open for 24 hours. pl, it reduces copd flare-ups. spiriva is the only once-daily inhad copd maintanceflare-ups. treatment that does both. iriva handihaler tiotropium brome inhalation powr does not replace fast-acting inhale for sudden symptoms. tell ydoctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate. these may woen with spiva. discuss all memedicines you take, even eye drops. stop takg spiva and seek immediate dicahelp if your breathing sudden worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. other side eects include dry mouth and constipation. spiriva helps me breathe better. (blowing sou) ask your doctor about spiriva. lou: you know, everybody's getting pretty excited about that fiscal cliff negotiation or impasse, however you want to3 style it. but i want to show you, if i may tonight, very quickly, what really is at stake and how it's going to change the fiscal future of the country, our destiny as a nation. because this is a big deal, and we're talking about a fiscal c